Granite Rehabilitation and Wellness

3128 Boxelder Dr · Cheyenne, WY · 82001 · 3076347901

146 certified beds For profit - Corporation Chain: Evergreen Healthcare Group

Why this verdict

  • 3 citations involved actual harm to residents.

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Red flags

3 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Score breakdown

Inspection record 30% of score 45
Serious harm & abuse 20% 82
Staffing 20% 65
Federal penalties 15% 74
Trend 10% 66
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.173.48 min · 4.1 strong
RN hours / resident-day0.730.55–0.75
Weekend hours / resident-day2.99≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)1 · $15,548

Inspection citations (25 in the current record)

  • Actual harm · G March 26, 2026

    Provide enough food/fluids to maintain a resident's health.

    Corrected May 8, 2026 · Quality of Life and Care

  • Actual harm · G March 26, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 8, 2026 · Quality of Life and Care

  • Potential for harm · E March 26, 2026

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected May 8, 2026 · Resident Rights

  • Potential for harm · D March 26, 2026

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 8, 2026 · Quality of Life and Care

  • Potential for harm · D March 26, 2026 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 8, 2026 · Nutrition and Dietary

  • Actual harm · G June 24, 2025 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected July 19, 2025 · Quality of Life and Care

  • Potential for harm · D June 24, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected July 19, 2025 · Resident Rights

  • Potential for harm · D August 7, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 7, 2024

    Provide activities to meet all resident's needs.

    Corrected September 9, 2024 · Quality of Life and Care

  • Potential for harm · F August 7, 2024

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected September 9, 2024 · Nursing and Physician Services

  • Potential for harm · D August 7, 2024

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    Corrected September 9, 2024 · Quality of Life and Care

  • Potential for harm · E August 7, 2024

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected September 9, 2024 · Pharmacy Service

  • Potential for harm · E August 7, 2024

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected September 9, 2024 · Pharmacy Service

  • Potential for harm · D August 7, 2024

    Provide and implement an infection prevention and control program.

    Corrected September 9, 2024 · Infection Control

  • Potential for harm · E April 12, 2024 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected May 13, 2024 · Resident Rights

  • Potential for harm · E April 12, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 13, 2024 · Quality of Life and Care

  • Potential for harm · F April 12, 2024 · found via complaint

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected May 13, 2024 · Nutrition and Dietary

  • Potential for harm · E April 12, 2024 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected May 13, 2024 · Nutrition and Dietary

  • Potential for harm · D April 12, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 13, 2024 · Infection Control

  • Potential for harm · E October 11, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 29, 2023 · Quality of Life and Care

  • Potential for harm · D May 25, 2023

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected June 23, 2023 · Quality of Life and Care

  • Potential for harm · D May 25, 2023

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected June 23, 2023 · Pharmacy Service

  • Potential for harm · D May 25, 2023

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected June 23, 2023 · Nutrition and Dietary

  • Potential for harm · F May 25, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 23, 2023 · Nutrition and Dietary

  • Potential for harm · E May 25, 2023

    Provide and implement an infection prevention and control program.

    Corrected June 23, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
June 24, 2025Fine$15,548

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 535013 · certified since April 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.